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Life satisfaction and coronary atherosclerosis : The SCAPIS study

Natt och Dag, Y. ; Engström, G. LU and Rosvall, M. (2022) In Journal of Psychosomatic Research 152.
Abstract

Background: There is an increasing interest in the potential health benefits of positive psychological states, especially with regard to cardiovascular health. Life satisfaction is thought to be a constituent component of psychological well-being; however, among the few previous studies that have investigated its associations with early stages of the cardiovascular disease process, only one small study has focused on coronary atherosclerosis. The present study aimed to explore associations between life satisfaction and coronary artery disease. Methods: The study used cross-sectional data from SCAPIS Malmö (n = 6251 randomly selected men and women, aged 50–64 years), including assessment of life satisfaction and coronary artery... (More)

Background: There is an increasing interest in the potential health benefits of positive psychological states, especially with regard to cardiovascular health. Life satisfaction is thought to be a constituent component of psychological well-being; however, among the few previous studies that have investigated its associations with early stages of the cardiovascular disease process, only one small study has focused on coronary atherosclerosis. The present study aimed to explore associations between life satisfaction and coronary artery disease. Methods: The study used cross-sectional data from SCAPIS Malmö (n = 6251 randomly selected men and women, aged 50–64 years), including assessment of life satisfaction and coronary artery calcification. Adjustments were made for sociodemographic factors, depression, and cardiovascular risk factors as assessed with the SCORE instrument. Results: Higher levels of life satisfaction were associated with lower odds of increased coronary artery calcification. This association persisted after adjusting for sociodemographic factors and depression, but lost significance after adjusting for cardiovascular risk factors. Sub-analyses revealed a significant dose-response relationship between higher life satisfaction and lower grade of coronary calcification in all investigated coronary artery regions. Conclusion: In this population-based sample, life satisfaction was associated with better coronary artery health. However, this association was largely explained by cardiovascular risk factors, indicating that life satisfaction is linked to coronary atherosclerosis through a decreased load of cardiovascular risk factors.

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author
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organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Coronary artery calcification, Epidemiology, Life satisfaction, Public health
in
Journal of Psychosomatic Research
volume
152
article number
110663
publisher
Elsevier
external identifiers
  • pmid:34798453
  • scopus:85119069506
ISSN
0022-3999
DOI
10.1016/j.jpsychores.2021.110663
language
English
LU publication?
yes
additional info
Publisher Copyright: © 2021 The Authors
id
5c25d872-b906-4129-ae58-2b507ca403da
date added to LUP
2021-12-02 12:34:39
date last changed
2024-08-11 02:44:48
@article{5c25d872-b906-4129-ae58-2b507ca403da,
  abstract     = {{<p>Background: There is an increasing interest in the potential health benefits of positive psychological states, especially with regard to cardiovascular health. Life satisfaction is thought to be a constituent component of psychological well-being; however, among the few previous studies that have investigated its associations with early stages of the cardiovascular disease process, only one small study has focused on coronary atherosclerosis. The present study aimed to explore associations between life satisfaction and coronary artery disease. Methods: The study used cross-sectional data from SCAPIS Malmö (n = 6251 randomly selected men and women, aged 50–64 years), including assessment of life satisfaction and coronary artery calcification. Adjustments were made for sociodemographic factors, depression, and cardiovascular risk factors as assessed with the SCORE instrument. Results: Higher levels of life satisfaction were associated with lower odds of increased coronary artery calcification. This association persisted after adjusting for sociodemographic factors and depression, but lost significance after adjusting for cardiovascular risk factors. Sub-analyses revealed a significant dose-response relationship between higher life satisfaction and lower grade of coronary calcification in all investigated coronary artery regions. Conclusion: In this population-based sample, life satisfaction was associated with better coronary artery health. However, this association was largely explained by cardiovascular risk factors, indicating that life satisfaction is linked to coronary atherosclerosis through a decreased load of cardiovascular risk factors.</p>}},
  author       = {{Natt och Dag, Y. and Engström, G. and Rosvall, M.}},
  issn         = {{0022-3999}},
  keywords     = {{Coronary artery calcification; Epidemiology; Life satisfaction; Public health}},
  language     = {{eng}},
  publisher    = {{Elsevier}},
  series       = {{Journal of Psychosomatic Research}},
  title        = {{Life satisfaction and coronary atherosclerosis : The SCAPIS study}},
  url          = {{http://dx.doi.org/10.1016/j.jpsychores.2021.110663}},
  doi          = {{10.1016/j.jpsychores.2021.110663}},
  volume       = {{152}},
  year         = {{2022}},
}